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Rigon IB, Calado GDA, Linhares LS, Cantu PLM, Moritz JLW, Wolf P, Lin K. Religiosity and spirituality in patients with epilepsy. ARQUIVOS DE NEURO-PSIQUIATRIA 2019; 77:335-340. [PMID: 31188997 DOI: 10.1590/0004-282x20190055] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 02/11/2019] [Indexed: 02/05/2023]
Abstract
OBJECTIVE Religiosity and spirituality (R/S) are widely regarded as important allies against illness and suffering in general. Findings in temporal lobe epilepsy (TLE) suggest the temporal lobe as the anatomical-functional basis of religious experiences. Both R/S are relevant in patients with epilepsy (PWE) since epilepsy can lead to psychosocial issues for a significant portion of patients and their families. To investigate R/S in PWE, as well as the impact of different epileptic syndromes on patients' R/S. METHODS One hundred PWE and 50 healthy volunteers matched for age, sex and educational level were submitted to an interview, as well as three previously validated questionnaires: Index of Core Spiritual Experience (INSPIRIT-R), Hospital Anxiety and Depression Scale (HADS), and the Quality of Life in Epilepsy Inventory (QOLIE-31). RESULTS PWE's and control's mean ages were 35.9 ± 12.4 vs. 36.3 ± 18.1 years, mean schooling was 8.9 ± 3.7 vs. 10.1 ± 4.2 years. The mean age of epilepsy onset was 14.5 ± 12.1 and monthly frequency of seizures was 5.9 ± 12.6. INSPIRIT-R's scores were not statistically significantly different between patients and controls (3.0 ± 0.8 vs. 3.0 ± 0.8); however, INSPIRIT-R's scores were significantly higher in TLE patients when compared with other epilepsy syndromes (3.2 ± 0.7 vs. 2.8 ± 0.9; p = 0.04). CONCLUSION Temporal lobe epilepsy patients have higher levels of R/S.
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Affiliation(s)
- Isadora Barazzetti Rigon
- Universidade Federal de Santa Catarina, Curso de Graduação em Medicina, Florianópolis SC, Brasil
| | | | - Lucas Savaris Linhares
- Universidade Federal de Santa Catarina, Curso de Graduação em Medicina, Florianópolis SC, Brasil
| | | | - Jorge Luis Wollstein Moritz
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Ciências Médicas, Florianópolis SC, Brasil
| | - Peter Wolf
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Ciências Médicas, Florianópolis SC, Brasil.,Universidade Federal de Santa Catarina, Hospital Universitário, Departamento de Clínica Médica, Serviço de Neurologia, Florianópolis SC, Brasil.,Danish Epilepsy Centre, Dianalund, Denmark
| | - Katia Lin
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Ciências Médicas, Florianópolis SC, Brasil.,Universidade Federal de Santa Catarina, Hospital Universitário, Departamento de Clínica Médica, Serviço de Neurologia, Florianópolis SC, Brasil
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Moritz JLW, Mameniškienė R, Rimšienė J, Budriūnienė A, de Almeida Calado G, Rigon IB, Cantú PLM, Meneguzzi C, Walz R, Lin K, Wolf P. Control perceptions in epilepsy: A transcultural case-control study with focus on auras. Epilepsy Behav 2018; 88:130-138. [PMID: 30269031 DOI: 10.1016/j.yebeh.2018.09.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2018] [Accepted: 09/08/2018] [Indexed: 01/08/2023]
Abstract
OBJECTIVE General Locus of Control (GLoC) is used to measure the extent to which people perceive life events as results of their own actions or external factors. This study analyzes the relationship between GLoC and people with epilepsy's (PWE) clinical characteristics, levels of anxiety, depression, religiosity/spirituality, and quality of life, with particular attention to possible influences of auras. METHODS A case-control study was carried out with 186 consecutive patients with a definite diagnosis of epilepsy in Brazil and Lithuania. Besides clinical and demographic data, all patients answered to internationally validated scales: Rotter's GLoC, Hospital Anxiety and Depression Scale (HADS), Quality of Life in Epilepsy (QOLIE-31), and Index of Core Spiritual Experiences-Revised (INSPIRIT-R). RESULTS Patient's mean age was 36.15 ± 13.75 years, 61.3% were female, mean age at onset of epilepsy was 17.27 ± 13.59 years, and monthly seizure frequency was 8.22 ± 20.00. People with epilepsy were more depressed than controls, (p = 0.03). Within the group with epilepsy, patients reporting auras and reacting to them had higher levels of depression (p = 0.002) and anxiety (p = 0.004) and lower QOLIE-31 (p = 0.01) score but did not differ in GLoC (p = 0.73) or INSPIRIT-R (p = 0.71). Patients with perceived ability to prevent seizures in response to auras had no increased levels of depression and anxiety. CONCLUSIONS General Locus of Control externalization in PWE was not confirmed. To perceive and be able to react to auras is associated with increased anxiety and depressive symptoms in PWE but not if it results in preventing seizures. No transcultural differences in these parameters were found.
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Affiliation(s)
- Jorge Luís Wollstein Moritz
- Programa de Pós-Graduação em Ciências Médicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | - Rūta Mameniškienė
- Department of Neurology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Lithuania
| | - Justė Rimšienė
- Department of Neurology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Lithuania
| | - Atėnė Budriūnienė
- Department of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Lithuania
| | | | - Isadora Barazzetti Rigon
- Curso de Graduação em Medicina, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | | | - Caroline Meneguzzi
- Curso de Graduação em Medicina, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | - Roger Walz
- Programa de Pós-Graduação em Ciências Médicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil; Serviço de Neurologia, Departamento de Clínica Médica, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | - Kátia Lin
- Programa de Pós-Graduação em Ciências Médicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil; Serviço de Neurologia, Departamento de Clínica Médica, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | - Peter Wolf
- Programa de Pós-Graduação em Ciências Médicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil; Serviço de Neurologia, Departamento de Clínica Médica, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil; Danish Epilepsy Centre, Dianalund, Denmark.
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Lucchetti G, Lucchetti ALG, Vallada H. Measuring spirituality and religiosity in clinical research: a systematic review of instruments available in the Portuguese language. SAO PAULO MED J 2013; 131:112-22. [PMID: 23657514 PMCID: PMC10871731 DOI: 10.1590/s1516-31802013000100022] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2012] [Revised: 04/04/2012] [Accepted: 12/12/2012] [Indexed: 11/22/2022] Open
Abstract
CONTEXT AND OBJECTIVES Despite numerous spirituality and/or religiosity (S/R) measurement tools for use in research worldwide, there is little information on S/R instruments in the Portuguese language. The aim of the present study was to map out the S/R scales available for research in the Portuguese language. DESIGN AND SETTING Systematic review of studies found in databases. METHODS A systematic review was conducted in three phases. Phases 1 and 2: articles in Portuguese, Spanish and English, published up to November 2011, dealing with the Portuguese translation and/or validation of S/R measurement tools for clinical research, were selected from six databases. Phase 3: the instruments were grouped according to authorship, cross-cultural adaptation, internal consistency, concurrent and discriminative validity and test-retest procedures. RESULTS Twenty instruments were found. Forty-five percent of these evaluated religiosity, 40% spirituality, 10% religious/spiritual coping and 5% S/R. Among these, 90% had been produced in (n = 3) or translated to (n = 15) Brazilian Portuguese and two (10%) solely to European Portuguese. Nevertheless, the majority of the instruments had not undergone in-depth psychometric analysis. Only 40% of the instruments presented concurrent validity, 45% discriminative validity and 15% a test-retest procedure. The characteristics of each instrument were analyzed separately, yielding advantages, disadvantages and psychometric properties. CONCLUSION Currently, 20 instruments for measuring S/R are available in the Portuguese language. Most have been translated (n = 15) or developed (n = 3) in Brazil and present good internal consistency. Nevertheless, few instruments have been assessed regarding all their psychometric qualities.
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Affiliation(s)
- Giancarlo Lucchetti
- Universidade Federal de Juiz de Fora UFJF, Juiz de Fora, Minas Gerais, Hospital João Evangelista and Faculdade de Medicina da Universidade de São Paulo FMUSP, São Paulo, Brazil.
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